What Are The Benefits To Using A Health Insurance Broker?

If you're contemplating the purchase of health insurance then there's a good possibility that a health insurance broker might be able to help you. A health insurance broker is a professional individual whose job is to provide health insurance companies or providers with prospective consumers that are seeking to obtain health insurance for themselves or their family. Normally, a health insurance broker is eagerly sought after by an individual or individuals that are not covered by any type of group health insurance plan. Typically this includes folks that have some sort of medical condition prior to obtaining health insurance but it can also include self-employed individuals that aren't covered by an employee health care plan.

In some ways a health insurance broker is almost like a real estate agent. The health insurance broker tries to find the best deal for the individual seeking health insurance based off a list of requested benefits provided to the health insurance broker by the consumer seeking to become insured. After finding a plan that is suitable for the consumer the health insurance broker then works towards a signing of a mutual health insurance contract by both parties involved, the insurance provider and the individual seeking insurance.

Although it may sound like the health insurance broker works for the insurance company it's actually quite the opposite because in a way the health insurance broker works for the consumer. The insurance broker is responsible to know about the many different health insurance providers or companies that may or may not be suitable for his clients. Additionally, they can provide information regarding claims, processing times, customer service and of course health insurance rates or premiums. In some cases the health insurance broker may be paid a referral fee for putting a health insurance company in contact with a consumer seeking health coverage, provided the consumer does actually sign up for health insurance through the recommended company.

Typically, a health insurance broker receives their compensation in the form of a commission. The payment for this commission can come from the consumer, the insurance company or a combination of the both, each paying their respective portion of the broker fee. Still, if a health insurance broker does a good job and actually finds you a health insurance company that offers excellent health coverage with reasonable rates then it may be money well spent in the long run. Also, because the health insurance broker is normally governed or regulated by state licensing requirements you can rest assured that they are trustworthy and will do the right thing ethically speaking in order to find the very best health insurance coverage that you can afford.

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The Role of the "Health Insurance Broker"

A health insurance broker is just like any other type of broker; this one just happens to specialize in the field of health insurance. A broker is somewhat like a matchmaker. His responsibility is to match up those seeking health insurance with health insurance companies that most closely match that person or group's needs.

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Health insurance brokers are sought by those individuals who, for various reasons, do not belong to a group insurance policy. These individuals are often the self-employed, or those with pre-existing conditions. However, a health insurance broker will also work with the coordinators of group insurance benefits in much the same way he works with an individual. The broker is given a list of desired benefits, either by an individual or a group coordinator, and the broker shops around to find the best match. The health insurance broker then presents what he feels is the best plan based on the list of needs, and if the person or group benefits coordinator agrees, the broker usually works to get a contract signed by both parties.

Who Does the Health Insurance Broker Work For?

It's important to understand that a health insurance broker does not work for a health insurance company. Instead, a broker makes it his business to know all about the different health insurance companies in the area including their reputations, their frequency of rate increases, and even such things as the way they treat policy holders who submit a lot of medical claims. But even though the health insurance broker is different from a health insurance company, it often does happen that a broker is given an incentive (usually a financial incentive) to recommend one health insurance company over another.

There has been a gradual introduction to the world of health insurance projected in this article. We had done this so that the actual meaning of the article will sink within you.

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Will it Cost More to Use a Broker?

We have not actually resorted to roundabout means of getting our message on health insurance through to you. All the matter here is genuine and to the point.

Does the cost of health insurance differ if it is secured by a broker? That's difficult to answer in general terms. A health insurance broker might be able to get an individual included in a group plan that is offered by the state or a trade union or organization and in such a case, an applicant might find the rates are lower and the coverage better than if he had attempted directly applying via a health insurance company. Most health insurance brokers work on commission and only make money when they've matched up insurer and insured. That means that one party or the other (and in some cases, both parties) typically is responsible for paying the broker's fee.

Because the rates and the rules regarding health insurance are continually changing, health insurance brokers are few and far between. Most states do have licensing requirements that brokers must meet before they're allowed to work as a health insurance broker. And because these requirements are issued at the state level, they differ from state to state. But if you find yourself lost in the tangled web of health insurance red tape, consider working with a health insurance broker. That person might just turn out to be your best ally.

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Why This Lawyer Says You Should Buy Car Insurance From an Independent Broker

I don't sell car insurance, but as a lawyer practicing in the field of personal injury I frequently see people suffer because they have the wrong insurance coverage. Often, this happens because they purchased directly from an insurance company instead of an independent broker.

Many of my clients who have been seriously hurt in a car accident were struck by someone who had no insurance or only the minimum liability insurance coverage, which is $25,000 in New York and much less in many other states. Unfortunately, many of my clients were sold insurance policies with liability limits of $100,000 or $300,000, but were not sold matching uninsured and underinsured coverage.

Just this week, yet another new client had this problem. My client was a pedestrian crossing the street when she was struck by a car which fled the scene. The driver was caught shortly after leaving the accident, but the owner of the car only has the New York State minimum liability insurance of $25,000 and my client has serious injuries consisting of many broken bones including a fractured arm, leg and skull.

My client owns a car with liability insurance limits of $300,000, but she purchased the insurance from GEICO whose salesperson didn't sell her underinsured coverage. GEICO does not use independent insurance brokers, but sells insurance directly to consumers through in-house sales agents.

For a small fee, my client could have purchased underinsured coverage of $300,000 which would have allowed her to recover $300,000 for her injuries instead of $25,000. Ironically, she did not need the $300,000 liability coverage to protect her assets. However, since you cannot buy underinsured coverage higher than your liability coverage, I would have advised her to purchase $300,000 liability coverage for the sole purpose of being able to purchase $300,000 underinsured coverage.

I have had many clients in this situation who lost their jobs because of serious injuries and incurred substantial debt. If they had matching underinsured coverage, the additional money available to pay their claim would would be a big help to pay their bills and get their life back together.

Underinsured motorist coverage will pay you money from your own automobile insurance policy if you have been hurt in a car accident by someone who was negligent for causing your injury and who had less liability insurance coverage than you did. Uninsured motorist coverage will pay you when the other car did not have any insurance coverage or the identity of the other car is unknown.

Underinsured and uninsured coverage is inexpensive and usually available in limits that match your liability insurance coverage. It is not available in amounts greater than your liability insurance coverage.

Underinsured and uninsured coverage is so important that a couple of states now require coverage limits matching your liability insurance limits, unless you decline the coverage in writing. Several years ago, I suggested to several New York State senators that they enact a similar law in New York.

I have also seen many clients who were not sold the maximum medical payments insurance, which costs me only $2.01 per month on my car insurance policy. This is particularly important for people who do not have a good health insurance policy. It is also beneficial for passengers who do not have health insurance.

Why should you buy car insurance through an independent insurance broker? The courts have defined the reason. There have been several "malpractice" lawsuits against insurance companies for failure to offer underinsured and uninsured motorists coverage limits matching the liability limits. However, when the insurance company sells directly to consumers, these cases have gone in favor of the insurance companies. The courts found that when a consumer buys insurance directly from an insurance company, rather than an insurance broker, the consumer is only buying insurance and is not paying for advice.

When you buy auto insurance from an independent insurance broker who represents several different insurance companies, you get the advantage of an insurance professional who can evaluate your needs and advise you accordingly. Additionally, only an independent insurance broker can provide you with a choice of insurance companies and premiums, so you get the best coverage at the lowest price.

Whether you buy your car insurance directly from an insurance company or through an independent insurance broker, always make sure that you purchase matching uninsured and underinsured motorist coverage and the maximum medical payment benefits.

Philip L. Franckel, Esq., is the founder of http://www.HURT911.org an accident and injury research web site for people hurt in an accident and personal injury lawyers. Mr. Franckel also publishes articles on Lawyer Advertising at http://www.Lawyer-Advertising-Blog.com